Stay informed with expert insights, best practices, and industry trends to optimize your revenue cycle management and billing operations.
Discover the latest medical coding standards, common pitfalls to avoid, and strategies to maintain high accuracy rates in your billing process.
Learn how to navigate the complex prior authorization process efficiently, reduce delays, and improve patient satisfaction.
Practical approaches to reducing claim denials, improving first-pass rates, and recovering revenue from denied claims.
Actionable strategies small healthcare practices can implement to improve their revenue cycle management and increase collections.
How to effectively collect patient payments while maintaining positive relationships and ensuring patient satisfaction.
Explore emerging technologies in medical billing including AI, automation, and cloud-based solutions transforming the industry.
Every podiatrist knows the sting of a denied claim. What most don't realize is how often Q7, Q8, and Q9 are behind it.
Behind every no-show isn't just an empty chair, it's a missed opportunity for a diabetic patient to adjust their treatment.
For Medicare-participating clinics, 2025 brings more than regulatory pressure—it brings a chance to turn reporting into revenue.
Home health agencies in the U.S. face a significant challenge with denied claims, especially under Medicare.
Independent Physician Associations (IPAs) offer a compelling alternative to healthcare consolidation. Often misunderstood, these organizations can significantly impact your practice's success.
Have you ever had a patient ask, "Can I just pay you directly?" Or wondered about the rules when someone with insurance chooses to pay out-of-pocket?
Accuracy in medical billing is more than a best practice — it is a regulatory requirement enforced by federal programs.
The National Correct Coding Initiative (NCCI) represents one of Medicare's most sophisticated claim review mechanisms.
The CLIA of 1988 established a federal framework regulating laboratory testing on human specimens for health purposes.
The Qualified Medicare Beneficiary (QMB) program is a critical financial support mechanism designed to assist low-income individuals.
Most healthcare providers recognize that delivering quality care is essential to driving practice success. Yet many overlook a critical factor.
The Centers for Medicare & Medicaid Services (CMS) has released its final payment rates for Medicare Advantage (MA) and Part D plans.
In the complex world of medical billing, time-based coding remains one of the most misunderstood—and consequently, one of the most costly—areas.
For newly graduated physicians or those transitioning to new practices, the credentialing process presents a significant challenge.
In facility-based healthcare billing, the UB-04 form stands as one of the most important documents in the revenue cycle.